03D2149057 CLIA NUMBER - TERROS HEALTH

Laboratory Demographics

  • CLIA Code: 03D2149057
  • Facility Name: TERROS HEALTH
  • Facility Address: 202 E EARL DR, SUITE 200
    PHOENIX, AZ
    ZIP 85012
  • Facility Phone: 602 685-6000
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KANINA KEMPTON-MCDONALD
  • NPI Number: 1386939247
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2149057
LAB Type Federally Qualified Health Center
Facility Name TERROS HEALTH
Street 202 E EARL DR, SUITE 200
City PHOENIX
State AZ
ZIP 85012
Phone 602 685-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Federally Qualified Health Center
Lab Director KANINA KEMPTON-MCDONALD

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This page was last updated on: 9/29/2025